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Physician Educator/Coding Auditore4e, Inc.

THIS JOB HAS EXPIRED

e4e Healthcare Services (www.e4e.com) is seeking a Physician Educator/Coding Auditor to provide professional services training, consultation, audit and feedback to clinicians on their documentation and coding to ensure the CLIENT receives appropriate reimbursement and conforms to applicable guidelines and regulation. Applicants must have minimum of 3 years coding experience in acute care setting and RHIA, RHIT, CCS or CPC credentials required..

Essential Job Functions:
? Performs periodic quality provider documentation and coding audits.
? Verifies the accuracy, completeness, and precision of ICD-9-CM, CPT-4, and HCPCs coding, including modifiers, units, and other variables impacting workload accountability and billing.
? Determine that providers and relevant support systems are sufficiently capturing services rendered to patients and to assess compliance with Medicare, and other third party requirements for coding and billing purposes.
? Provides specialty-specific training to clinicians on documentation of services and appropriate coding of level of service, diagnoses (ICD9-CM), procedures (CPT-4) and HCPCS coding including modifiers, units and other variable impacting workload accountability and billing.
? Analyzes audit data and provides summary feedback to individual clinicians, making recommendations for improvement.
? Maintains current knowledge to ensure that CLIENTS coding and documentation meets regulatory guidelines and audit standards and results in appropriate reimbursements. Maintains professional competency in professional services coding and documentation requirements.
? Provides input in the development, refinement, and implementation of methods and procedures used to complete audit functions.
? Collaborates with the Clients team to develop and implement strategies to make appropriate documentation and coding easier for clinicians.